Active NPI
Kirtland Woods of Journey, LLC
Doing business as Kirtland Woods of Journey
- Skilled Nursing Facility
- Kirtland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- KIRTLAND WOODS OF JOURNEY, LLC
- Doing business as
- Kirtland Woods of Journey
- Practice address
- 9685 Chillicothe Rd
Kirtland, OH 44094-8503 - Phone
- (440) 256-8100
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard McGuinness
- Title
- Authorized Representative
- Phone
- (440) 256-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Mailing address
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Phone (440) 256-8100
Other names 1
- Kirtland Woods of Journey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241127003917 | OH | Part A Provider - Skilled Nursing Facility | 0345775342 | Practice locations: Kirtland, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821826603. Details of each certification follow.
Skilled nursing facility certification: CCN 365290
- Legal name
- KIRTLAND WOODS OF JOURNEY, LLC
- Doing business as
- KIRTLAND WOODS OF JOURNEY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 4, 1973
- Last certification
- May 2, 2024
- Beds
- 177
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 9685 Chillicothe Rd
Kirtland, OH 44094-8503 - Nursing home name
- KIRTLAND WOODS OF JOURNEY
- Affiliated entity
- JOURNEY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kirtland Woods of Journey
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 4, 1973
- Medicare certification status
- Active
- Certified beds
- 177
- Chain
- Journey Healthcare
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0703569 | Kirtland Woods of Journey | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Blue Ocean Trust | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 31.7% |
| Adp of the SNF | Nov 27, 2024 | ||
| Ajoj Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 33.33% |
| Adp of the SNF | Nov 27, 2024 | ||
| Shasam Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 33.33% |
| Adp of the SNF | Nov 27, 2024 | ||
| Mihaela Donca | Operational/Managerial Control | Nov 27, 2024 | |
| Adp of the SNF | Nov 27, 2024 | ||
| Journey CZ Management LLC | Operational/Managerial Control | Nov 27, 2024 | |
| Adp of the SNF | Nov 27, 2024 | ||
| Bernard J McGuinness | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 4.9% |
| Operational/Managerial Control | Nov 27, 2024 | ||
| 3 Bees Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 33.33% |
| Adp of the SNF | Nov 27, 2024 | ||
| Pamela Sue Duggan | Adp of the SNF | Dec 11, 2024 | |
| Shasam Family Trust | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 31.7% |
| Adp of the SNF | Nov 27, 2024 | ||
| Journey CZ Oh Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 100% |
| Bees Family Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 31.7% |
| Adp of the SNF | Nov 27, 2024 | ||
| Journey CZ of Oh LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2024 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Willoughby, OH
- NPI 1881635670
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Chardon Woods
- Skilled Nursing Facility
- Chardon, OH
- NPI 1467260182
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Cartersville, GA
- NPI 1518793710
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Clifton Heights
- Skilled Nursing Facility
- Louisville, KY
- NPI 1275361016
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Frankfort Trails
- Skilled Nursing Facility
- Frankfort, KY
- NPI 1932937703
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Glasgow Hills of Journey
- Skilled Nursing Facility
- Glasgow, WV
- NPI 1023847027
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Green River Trails
- Skilled Nursing Facility
- Greensburg, KY
- NPI 1568290344
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Lyndon Crossing
- Skilled Nursing Facility
- Louisville, KY
- NPI 1730917519
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Morgantown Heights of Journey
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1285462069
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Riverside Valley of Journey
- Skilled Nursing Facility
- Saint Albans, WV
- NPI 1710715594
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
dba Stanford Crossing
- Skilled Nursing Facility
- Stanford, KY
- NPI 1538997317
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Vanceburg, KY
- NPI 1083442867
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Willoughby, OH
- NPI 1881635670
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1821826603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9685 CHILLICOTHE RD",
"city": "KIRTLAND",
"state": "OH",
"postal_code": "440948503",
"telephone_number": "440-256-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9685 CHILLICOTHE RD",
"city": "KIRTLAND",
"state": "OH",
"postal_code": "440948503",
"telephone_number": "440-256-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRTLAND WOODS OF JOURNEY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "MCGUINNESS",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "440-256-8100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kirtland Woods of Journey",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kirtland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.